Active NPI
Michael Thomas Sullivan, D.C.
- Chiropractor
- Lexington, KY
National Provider Identifier
1093868119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5038
- Practice address
- 2716 Old Rosebud Road
Suite 230
Lexington, KY 40509 - Phone
- (859) 263-8833
- Fax
- (859) 264-1175
- NPI assigned
- Jan 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5038 | KY | Primary |
Addresses
Primary practice location
2716 Old Rosebud Road
Suite 230
Lexington, KY 40509
Mailing address
2716 Old Rosebud Road
Suite 230
Lexington, KY 40509
Phone (859) 263-8833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5038 | KY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1093868119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 OLD ROSEBUD ROAD",
"address_2": "SUITE 230",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40509",
"telephone_number": "859-263-8833",
"fax_number": "859-264-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 OLD ROSEBUD ROAD",
"address_2": "SUITE 230",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40509",
"telephone_number": "859-263-8833",
"fax_number": "859-264-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-20",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
- Clarence Francis Sullivan III, PHARMD
- Daniel James Sullivan, DO
- Diana Renee Sullivan, RN
- Kelly Sue Sullivan
- Maureen A Sullivan, CRNA
- Susan W Sullivan, CSW
- Tyler Blake Sullivan, PHARMD
- William Sullivan, LMT
- Ashley Kay Sully, RRT, RRT-SDS
- Suma K Saraff MD Inc (Lexington Internal Medicine & Cardiology Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.